NPI | 1215477526 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174H00000X Health Educator |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2017-03-06 |
Last Update Date | 2017-03-06 |